MS. DONNA M. COTTON FNP
NPI 1396708459
Nurse Practitioner - Family in Bangor, ME
About Ms. Donna M. Cotton Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. DONNA M. COTTON FNP (NPI 1396708459) is an individual family provider in Bangor, Maine, licensed in Maine (CNP81505) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Donna M. Cotton Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Donna Cotton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 259 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Donna Cotton's NPI number?
The NPI number for Donna Cotton is 1396708459. It was assigned to this individual provider in the NPPES registry on April 10, 2006.
Where is Donna Cotton located?
Donna Cotton practices at 489 State St Kagan 2, Surgical Navigation, Bangor, ME 04401. The listed phone number is (207) 973-5456.
What is Donna Cotton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donna Cotton enrolled in Medicare?
Yes. Donna Cotton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Donna Cotton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Cotton reassigns Medicare benefits to St. Joseph Hospital (Bangor, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Cotton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Cotton accept?
Health plans from Anthem Blue Cross and Blue Shield list Donna Cotton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Donna Cotton affiliated with any hospitals?
According to CMS data, Donna Cotton is affiliated with St Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Donna Cotton was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Donna M. Cotton, FNP · NPI 1396708459
Family physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1396708459 (Entity type: Individual)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP81505 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 489 STATE ST, KAGAN 2, SURGICAL NAVIGATION, Bangor, ME 04401
- **Phone:** (207) 973-5456 · **Fax:** (207) 973-4371
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St. Joseph Hospital (NPI 1154321545, Bangor, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** January 8, 2024
- **Other identifiers:** Medicaid 432059799 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1396708459) · Data from the CMS NPPES public registry.